Individual
TIFFANY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 310-0225
(913) 310-0565
Mailing address
11600 COLLEGE BLVD, SUITE 201, OVERLAND PARK, KS 66210-2786
(913) 310-0225
(913) 310-0565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006000005
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2006000005
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0433587
LICENSE
KS
01
—
2009001629
LICENSE
MO
Enumeration date
04/28/2008
Last updated
06/12/2012
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